New Enquiry

What’s next

If you would like to send an enquiry, please fill out the form below to arrange an initial consultation (all appointments are Telehealth and provided via Zoom).

Name

First Name

Last Name

Email Address

Phone Number

Additional Information

e.g. reason for seeking therapy

Have you ever been in therapy before?

If so, when and for how long?

Preferred Days/ Times

Monday a.m.

Monday p.m.

Tuesday a.m.

Tuesday p.m.

Wednesday a.m.

Wednesday p.m.